The natural history of most childhood onset conditions has improved over the past 40 years so that 90% of AYASHCN will live into adulthood. For some conditions, for example, congenital heart disease and cystic fibrosis, there are more adults than minors. However, the resources invested in treating pediatric conditions have not been matched by improvements in methods to successfully transition AYASHCN into adult-based care. The same sort of ingenuity, perseverance, and investments to enhance the diagnosis and treatment of child-onset conditions must be applied to improving HCT.

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Constance M. Wiemann
    • 1
  • Albert C. Hergenroeder
    • 1
  1. 1.Section of Adolescent Medicine and Sports Medicine, Department of PediatricsBaylor College of Medicine, Texas Children’s HospitalHoustonUSA

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